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PLUMBING PERMIT• Permit NO ___ Q_ _ _ _ _ ..'_ ___ J Application i hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build ng or other structure herem descnbed. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of th Building Dr ' sion of M;ami Shores Village shall be complied with, whether herein specified or not A copy of approved plans and specifications must be kept at building during progress of work. 1 Owner's Name and Address. I - �� -���_ _�..�. No.-_� ._�— Street . 2 2 6 / Registered Architect and /or Engineer _ . — _-- .________ _ Employing Plumber's Namq t./3/Ylt L/hP P 1_( No.. -- �- -7_ ,�t_ Street _ - - Location and Legal Description Lot_- -- Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) Re lam► y _. 404W _ New Building Remodeling__ -_- _ -- -- - _ - Addition_--- Repairs. 1.— • ___ No. of Stories S i z e Septic Tank__ _ __ __ -- _ -- -- Feet of Drain Tile -- - _ --------- -- Nature e of Water Supply. City—Well. Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT _ _Block_ Bloch _ -- Subdivision_ Type off Tantc - •_ ---- _ -- .Capacity Geis. Dist. Feet of Tank or Drain Field from Well.- -_ ._ - Si a of Soakage Pit -- - (S ed).._- - -- treet Date The undersigned applicant for this building permit does hereby certify that he understands and i ccepts his o under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Penn plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractor performed under this permit; and will post or cause to be posted for inspection on the site of the wo required by the Act. The undersigned agrees to employ only such sub contra . _ s, on work to licensed by Miami Shores Village. /' 0' .19 c PL-mb ng In :pecto. gations as an e nployer of labor ent Supplement, 'n:1 I a•: 'om • loyed by hin in the wo =k to be public notice or no ices as are ed under this per nit, as are Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgn ents, personall appeared to me well known, and who, being by me first duly sworn upan oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing apphcation, and that he did sign the same, and that all •acts therein by him stated are true. Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when ouch re- inspection is made 'necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS O LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBE URINALS CATC;-0 BASIN FLOOR DRAIN DRINKING FOU''T'NS TOTAL F XTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST CHECK • Permit NO ___ Q_ _ _ _ _ ..'_ ___ J Application i hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build ng or other structure herem descnbed. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of th Building Dr ' sion of M;ami Shores Village shall be complied with, whether herein specified or not A copy of approved plans and specifications must be kept at building during progress of work. 1 Owner's Name and Address. I - �� -���_ _�..�. No.-_� ._�— Street . 2 2 6 / Registered Architect and /or Engineer _ . — _-- .________ _ Employing Plumber's Namq t./3/Ylt L/hP P 1_( No.. -- �- -7_ ,�t_ Street _ - - Location and Legal Description Lot_- -- Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) Re lam► y _. 404W _ New Building Remodeling__ -_- _ -- -- - _ - Addition_--- Repairs. 1.— • ___ No. of Stories S i z e Septic Tank__ _ __ __ -- _ -- -- Feet of Drain Tile -- - _ --------- -- Nature e of Water Supply. City—Well. Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT _ _Block_ Bloch _ -- Subdivision_ Type off Tantc - •_ ---- _ -- .Capacity Geis. Dist. Feet of Tank or Drain Field from Well.- -_ ._ - Si a of Soakage Pit -- - (S ed).._- - -- treet Date The undersigned applicant for this building permit does hereby certify that he understands and i ccepts his o under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Penn plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractor performed under this permit; and will post or cause to be posted for inspection on the site of the wo required by the Act. The undersigned agrees to employ only such sub contra . _ s, on work to licensed by Miami Shores Village. /' 0' .19 c PL-mb ng In :pecto. gations as an e nployer of labor ent Supplement, 'n:1 I a•: 'om • loyed by hin in the wo =k to be public notice or no ices as are ed under this per nit, as are Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgn ents, personall appeared to me well known, and who, being by me first duly sworn upan oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing apphcation, and that he did sign the same, and that all •acts therein by him stated are true. Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when ouch re- inspection is made 'necessary by improper notice for inspection, or faulty materials and /or workmanship. Permit No Nature of Water Supply: City —Well Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date ... 1 Size Septic Tank Type of Tank Capacity Gals. Feet of Drain Tile / ' 6 ' • "7 Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit (Signed) My Commission Expires Notary Public, State of Florida L , Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address_ _ . / (_�'_ � _' 1__ �lj ________.___________ No./ - Street L(; A 7---- 1 / S7 Registered Architect and /or Engineer ACME SEPTIC TANK CB. Employing Plumber's Name No. Street P. O. BOX 113. Location and Legal Description Lot 141-RtEA , 4 _ _____ Block Subdivision Street and Number where work is to be performed —No Street ,tate work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs _ ___x%'r No. of Stories Master Plumber. (Signed) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor •r the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- "ith the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be pe_ _ �d under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts rein by him stated are true. )TE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty Is and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM•G POOL CONTR. LIST 7 l Lbk:4 CHECK Permit No Nature of Water Supply: City —Well Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date ... 1 Size Septic Tank Type of Tank Capacity Gals. Feet of Drain Tile / ' 6 ' • "7 Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit (Signed) My Commission Expires Notary Public, State of Florida L , Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address_ _ . / (_�'_ � _' 1__ �lj ________.___________ No./ - Street L(; A 7---- 1 / S7 Registered Architect and /or Engineer ACME SEPTIC TANK CB. Employing Plumber's Name No. Street P. O. BOX 113. Location and Legal Description Lot 141-RtEA , 4 _ _____ Block Subdivision Street and Number where work is to be performed —No Street ,tate work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs _ ___x%'r No. of Stories Master Plumber. (Signed) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor •r the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- "ith the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be pe_ _ �d under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts rein by him stated are true. )TE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty Is and /or workmanship. • • Permit No.. MIAMI SHORES I LLAG E PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT • Date_ %anklary__.1'4_ -1 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address No Street Registered Architect and /or Engineer Employing Plumber's Name ACe_n1x (i(1.._ IPI. _Y No. 57Q5 Location and Legal Description Lot_ Street and Number where work is to be performed —No 133 State work to be performed and purpose of building - -.(y Floors) New Building _ Remodeling Addition Repairs No. of Stories Amount of Permit $ 1 • __ (Signed) STATE OF FLORIDA, COUNTY OF DADE. Block _ Subdivision_ N• t __$l_>__#u_____ _ —_- -- Size Septic Tank Type of Tank . .____ . ,RrQceattt___________ Gals 6QQ Feet of Drain Tile______ 12 Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit.____-_______________ _______________________________ Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (S AC'1 ; SL: TIC TANK CUIiPAI1Y Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public. State of Florida Master Plumber. NOTE: A re - inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK X V X • • Permit No.. MIAMI SHORES I LLAG E PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT • Date_ %anklary__.1'4_ -1 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address No Street Registered Architect and /or Engineer Employing Plumber's Name ACe_n1x (i(1.._ IPI. _Y No. 57Q5 Location and Legal Description Lot_ Street and Number where work is to be performed —No 133 State work to be performed and purpose of building - -.(y Floors) New Building _ Remodeling Addition Repairs No. of Stories Amount of Permit $ 1 • __ (Signed) STATE OF FLORIDA, COUNTY OF DADE. Block _ Subdivision_ N• t __$l_>__#u_____ _ —_- -- Size Septic Tank Type of Tank . .____ . ,RrQceattt___________ Gals 6QQ Feet of Drain Tile______ 12 Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit.____-_______________ _______________________________ Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (S AC'1 ; SL: TIC TANK CUIiPAI1Y Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public. State of Florida Master Plumber. NOTE: A re - inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. • E / ,14 ••• • (-4 E )r r Dn Lot 33 Bl, Subdi- vision )f 1 ,6-0" e . r ; .• • Value of Project Amt. of Permit 4 F BUILDING ELECTRICAL PLUMBING Owner o Building • Architect Contract ur Build Legal Descripti Address Building MIAMI SHORES VILLAGE, FLORIDA DATE t PERMIT N9 1819 Work to be performed under this Permit • / 194 Contractor's License No This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. + " Signed: B INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regula- tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY Date Type Insp'n Permit No. Name Address Compan Phone # / For Inspector:) b C O(L e Date Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Time MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date rJ `� Time Type Insp' n Permit No. ?4 Aci� - /c7 Name P/6 r`f22� 1 1`A Address /33 NE: -// Company C c / ? Phone # C3 ' 9 ' / '/ /s For Inspector: 7. ‘ - ,� � �� Da Approved E Correction Re- Insp'n Fee 7 yai 7 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 1,--z Time Time Type Insp'n /k m'e � Permit No. L ,2w2. 6 Name (ZZ° Address �� 3 ii, 1 S Compan Phone # 'e ®,9 For Inspector: 6:3_7 Approved Correction Re- Insp'n Fee k, ❑ --2,0 1 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Buildings nspection Request bat (11.'\ n� Type Insp n /16(97)()� Permit No. Name Address Company s /49cL . Phone # s gcieq 0000 For Inspector: Approved Correction Re- Insp'n Fee 1522ate Legal Description 0)S -' C I i / ' \ D P 7 / t 7 E // )80- / ? Re.,( �. Owner / Lessee / Tenant g--10Z1,/,//') L Master Permit # ( ) N q / ® Phone3OS) 7,C6- C Contracting Co. f %k l II-ER Address filed c, n1/4 J /` -/54 Qualifier /HA// 7 f)?7,9,r ssar9 Phone3os) L7 5?' State # cO 2 ? Municipal # Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL MECHANICAL ROOFING PAVING FENCE SIGN Owner's Address WORK DESCRIPTION 5 PR fry) k1 Ff . stj/ ,7af 0 SPA im k/ R � C yy S 4),A 1� fley175 , G L )9-a - iz Z j tL dr' er/LC AAA S P Rioi frt e Square Pt. Estimated Cost(value) --/ WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above-named contractor to do the work stated. Signatur Date: Notary a My Commis ** * FEES: PERMIT /10 APPROVED: * 3 00 Zoning PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address f _33 /Y/ q Tax Folio 1 1 O LJ „;-.? a /i / 111 f ondo President o President Dagoberto F Guardia *My Commission CC750345 4,C Expires June 11, 2002 * * * RADON C.C.F. Buildin Mechanical Plumbin PLUMBING I �, ��& - Date \ Signatu e • I Owner - Builder A, O q_01 Notary a Ito TA or Owner- Builder My Co ission Expires,oNs DagobertoF Guardia * *My Commission CC750345 w / Expires June 11, 2002 * * * * * * * ** Fire NOTARY e TOTAL DUE `1 1I, Other Electrical Engineering a. am • --p-,vfivt a'4x„S • A, C) _ C Application is hereby ne.ue foi the approval of the detailed statement of the plans and specifications herewith submitted for the building or other ste.xture `.- .erein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, end all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division Gf Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at bathing during progress of work. e _ L k — -�i! - Z ner°s Nae and Address t_._ g � _._' No.__ Stree it �� STATE OF FLORIDA, COUNTY OF DADE. Amount of Permit $ ? _� __ CL My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Registered Architect and /or Engineer--- - -_ - -_ -- -_- - - - - -- - _ -_ - -_ Employing Plumber's Name. Location and Legal Description Lot_._.___ ..... _ -- Street and and Number where work is to be performed —No - - -1 State work to be performed and purpose of building (By Floors)_____ New Building Remodeling___-____ Addition_ __ Block No. (Signed) (Signed)._ -- rr 4 Date t, Street__ sa Subdivision Streee. Repairs No. of Stories. Size Septic Tank _ - -_- -Type of Tank Feet of Drain Tile_ ...... _-- ............... ____________moist. Feet of Tank or Drain Field from Well Nature of Water Supply: City— Well.____M _____________.______ _ ___Size of Soakage Pit Capacity Gals / umbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has corn - ,,lied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are requhraii by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the___ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Notary Public, State of Florida aster Plumber. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or worlrmanship. CLOSIsTB BATH UBS OWER SHOWERS LAVA TORIES SINKS SLOP SINKS LAUNDRY TUBS U RINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES C3NTPi. LIS34 CHr'CK S:Pym TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL LIST CHICK — A, C) _ C Application is hereby ne.ue foi the approval of the detailed statement of the plans and specifications herewith submitted for the building or other ste.xture `.- .erein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, end all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division Gf Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at bathing during progress of work. e _ L k — -�i! - Z ner°s Nae and Address t_._ g � _._' No.__ Stree it �� STATE OF FLORIDA, COUNTY OF DADE. Amount of Permit $ ? _� __ CL My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Registered Architect and /or Engineer--- - -_ - -_ -- -_- - - - - -- - _ -_ - -_ Employing Plumber's Name. Location and Legal Description Lot_._.___ ..... _ -- Street and and Number where work is to be performed —No - - -1 State work to be performed and purpose of building (By Floors)_____ New Building Remodeling___-____ Addition_ __ Block No. (Signed) (Signed)._ -- rr 4 Date t, Street__ sa Subdivision Streee. Repairs No. of Stories. Size Septic Tank _ - -_- -Type of Tank Feet of Drain Tile_ ...... _-- ............... ____________moist. Feet of Tank or Drain Field from Well Nature of Water Supply: City— Well.____M _____________.______ _ ___Size of Soakage Pit Capacity Gals / umbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has corn - ,,lied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are requhraii by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the___ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Notary Public, State of Florida aster Plumber. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or worlrmanship. lUILDING LECTRICAL 'LUMBING 14 wilding )wner of architect contractor 3r Builder .egal )escription address of luilding Lot MIAMI SHORES VILLAGE, FLORIDA ' .->/ PERMIT N° 4908 Work to be performed under this Permit Bl. Subdi- vision Value of Project Signed. , DATE 41' - 11 "44 194_4 Contractor's License No. Aint. of Permi CONTRACTOR OR BUILDER BY AUTHORITY M This permit is granted to the contract or builder named above to construct the building or to install the equipment or evice described in the appli- lation herefor in strict compliance with all or finances pertaining thereto and with the understanding that the work will be performed in compliance with any flans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked t any time if the work is not done in compliance with such ordinances or if the plans are changed witb.(dyytt authorization. further condition upon which this iermit is granted is the understanding that the contractor or builder named above assumes tjie ressonsijlity fora thorscnowledge of the ordinances and egulations pertaining to the work covered hereby whether shown on the plans or drataiggs or in The statements of ns and that he assumes respon- sibility for work done by his agents, servants or employees. By INSPE6R In consideration of the issuance to me of this permit I agree to perform the work covered he ender in compliance with all ordinances and reguI tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. IrCaccepting this Reran* . I assume fespous bility for all work done by either myself, my agent, servant or employee. " • building during progress of work. Owner's Name and Address -�- l i - r Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. ss. State work to be perforned and purpose of building (By Floors) Size Septic Tank Type of Tank New Building Remodeling Addition MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No. ; / - Date /fl‘ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at V 4— 4 : .r' No. / '> Street t • Registered Architect and /or Engineer � � Employing Plumber's Name are' v ° ✓ �'! }! / ��' `� No. Street Location and Legal Description Lot Street and Number where work is to be performed —No. j _ Block 5 Repairs S treet Subdivisiq! No. of Stories Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. Size of Soakage Pit _______ (Signed) Capacity Gals. Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. ( Signed) Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. , CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL. SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST CHECK , building during progress of work. Owner's Name and Address -�- l i - r Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. ss. State work to be perforned and purpose of building (By Floors) Size Septic Tank Type of Tank New Building Remodeling Addition MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No. ; / - Date /fl‘ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at V 4— 4 : .r' No. / '> Street t • Registered Architect and /or Engineer � � Employing Plumber's Name are' v ° ✓ �'! }! / ��' `� No. Street Location and Legal Description Lot Street and Number where work is to be performed —No. j _ Block 5 Repairs S treet Subdivisiq! No. of Stories Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. Size of Soakage Pit _______ (Signed) Capacity Gals. Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. ( Signed) Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. , BUILDING ELECTRICAL PLUMBING Owner of r' , i/iK'!: �.�k*`+► Building Architect Contractor or Builder Legal Description Address of f A . Building / This permit is granted to the contrac or builder named above to construct the building or to install the equipment or evice described in the appli- cation herefor in strict compliance with all o dinances pertaining thereto and with the understanding that the work wil be per ormed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are cha ed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assume e respaVssliility forya thor knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or dra or'yii"kh€ Itatern otl e i ions and that he assumes respon- sibility for work done by his agents, servants or employees. INSP In consideration of the issuance to me of this permit I agree to perform the work covered hgg eiinder in compliance with 94 ordinances anti reg tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Slibies illage. accepting this permit I assume zetpon i ility for all work done by either myself, my agent, servant or employee. / Lot • 4 Fi I PERMIT Nn 4908 Pi 2' CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA Work to be performed under this Permit Bl. Signed: Subdi- vision Value of Project BY DATE Contractor's License No. 4l. Amt. of '`ti Perm By 194 AUTHORITY Y I� BUILDING ELECTRICAL PLUMBING )wner of ilding Architect Contractor or Builder MIAMI SHORES VILLAGE, FLORIDA PERMIT N9 1517 DATE 194 Work to be performed under this Permit Contractor's License No. Legal Lot Bl. Subdi- Description vision Address of Building This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: By INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regula- tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. Value of Project Amt. of Permit CONTRACTOR OR BUILDER BY AUTHORITY BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Lot Bl. Description Address of Building MIAMI SHORES VILLAGE, FLORIDA DATE 194 Contractor's License No. PERMIT ■9 1571 Work to be performed under this Permit Subdi- vision Value of Project Amt. of Permit This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed• 13y INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regula- tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY CONTRACTOR Name Essig Pools, Inc. 1800 NE 1 5 1 Sbo License No. R �r l �t �®; `�(� !iJ Koh if Address 305 - 949.0000. 954- 438425' Fax: 305-949-9171 Telephone Fax Qualifier Name J yL tl crL 5 .5 c ENGINEER Name L�Iii//) Ad1 . Z Name 7 & 5 License No. Fax Address 61\-s- J Repair Telephone 39 9 v / k` T,2.42\3-7 Alteration Interior Fa Fax Demolish PROPERTY OWNER Name L�Iii//) Ad1 . Z Address / 3 g (1/ / s' 7 Home Telephone Q4_ - 70 o c y4 O Business Telephone d j 9 f /7 / SS %Q l � Fax TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'I Attachment Other Add'l Detachment Other INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Step 1. Complete the attached permit application which must be signed by the property owner and q Both sig natures must be notarized. Please print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submitted along with this permit application. Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. APPLICATION Job Address: igg Ne -5 Address Folio Number Description of Work pool plt)t 4 1 LotEtO /BU /F Block / 9 /-1-.. - a .4.0 T /7 Subdivision p _PB /' PG 7O Zoning Linear Feet Current Use of Property S. ��', Square Feet Units Floors Proposed Use of Property Value of Work 7O 0 Bldg Value Tenant Information Tax Assessed/Appraised Value Flood Zone Base Floor Elev. PERMIT CHANGE (✓ ) PERMIT TYPE (✓ ) Building Electrical Plumbing `L�ts Roofing Fence Other 721', Apt. City Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. p/h Address Telephone Fax Master Permit No. Subsidiary Permit No. PERMIT APPLICATION Al /9/27 / ,4t,p1 %' /? //)/d 17 7ems`' State Zip Page 2 IMPORTANT NOTICES: 1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT.AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the streeVsidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. AFFIDAVIT :: = Please read carefully. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Not' - o . ommencement must be recorded at: 22 N.W. 1st Street, 1" Floor, (305) 679 -1078. Once recorded, the Notice of Comme '7= t mu i t be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochur e Hall on Construction Lien Law and Choosing a Contractor. STATE OF •RIDA, COUNTY fd MIAMI -DADE gnature of L� //U LOPE Print Name Swo to a subscri 4g ip �� �u i c State of Florida before me this 1 / day of KENNETH SHERMAN 3 � Am r n 3 Notary Public, State of Florida 15912121Z! 319 Go, mm. exp. May 24, 2003 Comm. No. CCS1 7 c Pe rsonalKit�tb8� • cbl OR, Produced Identification te • ocoo.co -zoo Type ltdift 1Wf aiile:ux S Print Nam Sworn to and subscribed before me this PERMIT APPLICATION TY OF MIAMI -DADE AnN /E L &Ss /G- /7 day of Signature of Notary Sic - ��•' of o RES I TOR 4 , * COMMISSION NUMBER SEAL: ., : � I Q CO840452 9 l�' OF F` MY COMMISSION EXPIRES MAY 26,2003 Personally known .)C OR, Produced Identification Type of Identification Produced: ELECTRICAL TYPE Minimum Fee QTY. TYPE Dryer QTY. TYPE Outlet, Appliance QTY. TYPE Service Repair QTY. A/C Central 1 -3 Ton Fan Outlet, Wall Service, Temporary A/C Central 4 -7 Ton Fire Pump Outlet, Switch Signs A/C Central 8 -15 Ton Fixture - Fluorescent Oven Space Heater (kw) A/C Central 16-20 Ton Fixture Light Parking Lot Lights Spas/Hot Tubs A/C Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Swim Pool, Commercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool, Residential Chiller Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Water Closet Demolition Low -volt, Intercom/Teleph. Repair Circuits Water IIeater Dishwasher Low -volt, Television Service, Number of Amps Water IIeater New MECHANICAL TYPE Minimum Fee QTY. TYPE Condensate Drain QTY. TYPE Generator QTY. TYPE Refrigeration, Tons QTY. A/C Central, Tons Cooling Tower Heating Strips, each Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Supply, AC Well Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Temporary Toilet PLUMBING TYPE : A/C Condensate QTY. TYPE Drains, Roof QTY. TYPE Miscellaneous Fixture QTY. TYPE Soakage Pit QTY. Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair • Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water IIeater Drainfield, 4" Tile /Res. Lavatory Septic Tank Water IIeater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Well, Supply Page 3 INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: PERMIT APPLICATION Page 4 OFFICE USE ONLY =CHECKLIST ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi- family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) $3.00 per page (Scanning Fee) Miami Shores Village Bond Inspector State Educational Fund $ State DCA (Radon) $ Code Enforcement Fine Zoning Review Li PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) Metropolitan Dade County (C.C.F.) ( sq.ft. = x/1000 / { 4 /N1/4a- x0.60) $ SECTION Zoning Electrical Mechanical Plumbin Fire Public Works Structural Building Official BY DATE eir011•11111 i -O (¢.005 /sq.ft.) (¢.01 /sq.ft.) REVIEWED AND PREPARED BY: PERMIT APPLICATION O CONDO ASSOCIATION APPROVAL (Attach) O BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) TOTAL $ o,V v 'ISSUING OFFICIAL DATE: CONDITION OF APPROVAL' Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com tnmawssr : ?Le 0 006 ESSIG POOLS, INC. 1800 NE 151ST STREET NORTH MIAMI, FL 33162 PAY TO THE ORDER OF • ©ke hy/d)eez) mod -? 0 doi (1LJQ- I! © / Mellon United National Bank Maml. FIa10a FOR eQ7 r ?9 7 00868150 406 ?0096464 00211330200 DATE 06 /J ��•' DOLLARS ►J 86815 63 -964 670 ;ltm :i.^nl" jt. Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: PL2002 -151 Printed: 6/13/2002 Applicant: CHARLES MORGANSTERN Owner: MORGANSTERN CHARLES JOB ADDRESS: 133 NE 91 ST Contractor ESSIG POOLS Contractor's Address: Local Phone: Parcel # 1132060133320 Signed Fees: Description Amount FEE2002 - 3363 Building Fee $90.00 Total Fees: $90.00 0 Permit Status: Approved Permit Expiration: 12/10/2002 Construction Value: Work: POOL PIPING If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection . fee is $50.00, which must be paid in advance before calling for another inspection. \../1 ("N This Permit is granted,to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to /and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without 11 , authorization. A further conditi, n upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the o rdinances and regulations pe aining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done y his agents, servan or em ' loyees. N In conside \ the plans, myself, my age Signed: Plumbing Permit $900.00 Page 1 of 1 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 E1/2 OF LOT 18 & LOT 19 BLK 24 LOT SIZE Total Fees: $90.00 Total Receipts: $0.00 L kli ' I NSPECTOR) BY: VINO o tu- ce to me of this permit, I agree to perform the work covered hereunder in compliance ' ith all !rdinances and regulations pertaining thereto and in strict conformity ra gs, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either t servants or : ployes. (Contractor or Builder) BY: Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address No. Street Registered Architect and /or Engineer Employing Plumber's Name _ ��e_ sa. �__ ��.: 1�. Si___ J .A7..�.CS___��r�r._�t�:x�.____ No. ___ 5 Location and Legal Description Lot Block Subdivision_ T Street £ • t ___1_ Street and Number where work is to be performed —No ^ / Y State work to be performed and purpose of building (By Floors) . New Building ______ Remodeling Addition Repairs __________________________ No of Stories Size Septic _____ Type of Tank Capacity Gals Feet of Drain Tile______ 125 Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit Amount of Permit $______ 1 UU STATE OF FLORIDA, COUNTY OF DADE. ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT _(Signed) Date__ Januar;/--- 4 - 1 941 Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. (Signed) AC:;: .iL I- r1' 1(: _ n_ _ Ci �.,:. FAN +� g r ;7,7, ' , Master Plumber. 644 Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Villaste. My Commission Expires Notary Public. State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR SYSTEM SW IM'G POOL CONTR. LIST CHECK }{ X Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address No. Street Registered Architect and /or Engineer Employing Plumber's Name _ ��e_ sa. �__ ��.: 1�. Si___ J .A7..�.CS___��r�r._�t�:x�.____ No. ___ 5 Location and Legal Description Lot Block Subdivision_ T Street £ • t ___1_ Street and Number where work is to be performed —No ^ / Y State work to be performed and purpose of building (By Floors) . New Building ______ Remodeling Addition Repairs __________________________ No of Stories Size Septic _____ Type of Tank Capacity Gals Feet of Drain Tile______ 125 Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit Amount of Permit $______ 1 UU STATE OF FLORIDA, COUNTY OF DADE. ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT _(Signed) Date__ Januar;/--- 4 - 1 941 Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. (Signed) AC:;: .iL I- r1' 1(: _ n_ _ Ci �.,:. FAN +� g r ;7,7, ' , Master Plumber. 644 Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Villaste. My Commission Expires Notary Public. State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Permit No MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address No Street Registered Architect and /ot' Engineer .. Employing Plumber's Name / No Street Location and Legal De ption Lot Block A Street and Number where work is to be performed —No R ,___r________.__ _ Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit. Amount of Permit $______ (Signed) (Signed) Date Subdivision STATE OF FLORIDA, ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit: and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. My Commission Expires Notary Public, State of Florida Plumbing Inspector. Master Plumber. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST _ / , a. , 1' /I/ �' CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK Permit No MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address No Street Registered Architect and /ot' Engineer .. Employing Plumber's Name / No Street Location and Legal De ption Lot Block A Street and Number where work is to be performed —No R ,___r________.__ _ Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit. Amount of Permit $______ (Signed) (Signed) Date Subdivision STATE OF FLORIDA, ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit: and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. My Commission Expires Notary Public, State of Florida Plumbing Inspector. Master Plumber. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. -- "7 Permit No._____ ____= Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of 44t. r Owner's Name and Address. f " s ; ` ` '`'" s r` " "'`` No Street J r -. Registered Architect and /o't ngineer 2 i Employing Plumber's Name,' 5.'ti0 r s . .w Location and Legal Deption Lot Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) • New Building Remodeling •"CPATE OF FLORIDA, COUNTY OF DADE. APPLICATION FOR PLUMBING PERMIT SS. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT Addition Amount of Permit $ - - - -- '" (Signed) Street Subdivision _Jo° My Commission Expires Notary Public, State of Florida Repairs No. of Stories Capacity Gals... Size Septic Tank Type of Tank Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit Plumbing I ctor. e undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an e ployer of labor e Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- ,./"pfied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the . of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when suc1S g..inspectjon is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST '' ., _ �.+ �} // -or � r CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM 'G POOL CONTR. LIST CHECK -- "7 Permit No._____ ____= Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of 44t. r Owner's Name and Address. f " s ; ` ` '`'" s r` " "'`` No Street J r -. Registered Architect and /o't ngineer 2 i Employing Plumber's Name,' 5.'ti0 r s . .w Location and Legal Deption Lot Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) • New Building Remodeling •"CPATE OF FLORIDA, COUNTY OF DADE. APPLICATION FOR PLUMBING PERMIT SS. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT Addition Amount of Permit $ - - - -- '" (Signed) Street Subdivision _Jo° My Commission Expires Notary Public, State of Florida Repairs No. of Stories Capacity Gals... Size Septic Tank Type of Tank Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit Plumbing I ctor. e undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an e ployer of labor e Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- ,./"pfied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the . of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when suc1S g..inspectjon is made necessary by improper notice for inspection, or faulty materials and /or workmanship. PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No 7 i A r Date__ izz, `' Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida. and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores V:illage and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. - Owner's Name and Address _ r 1_!J L . ' 6 " ¢ Registered Architect and /or Engineer Employing Plumber's Name -r Amount of Permit $ - I My Commission Expires MIAMI SHORES VILLAGE w __ -- No. 1 __ 4 11 f _Ate Si d No. _ `,".!$ Std!!( 'of Location and Leal Description Lot _i Block Subdivision c Street and Number where work is to be performed— No._/ _hi tiS 1 '' Street _________________ State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs._ No. of Stories Type of Tank Capacity Gals Size Septic Tank Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. Size of Soakage Pit (Signed) Notary Public. State of Florida Street! ,;0_i4 f� l t"� . Plum ng Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations a employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit: and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, ss. COUNTY OF DADE. r t s:° � X ` 444 40*11 +� Before me, the undersigned authority, a notary public, duly authorized to administer oaths take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the . of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty - materials and /or workmanship. CLOSETS BATH TUGS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP r' '{IVELL SPRKLR. SYSTEM SWIM'G POOL CONTR. IST LIST CHECK PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No 7 i A r Date__ izz, `' Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida. and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores V:illage and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. - Owner's Name and Address _ r 1_!J L . ' 6 " ¢ Registered Architect and /or Engineer Employing Plumber's Name -r Amount of Permit $ - I My Commission Expires MIAMI SHORES VILLAGE w __ -- No. 1 __ 4 11 f _Ate Si d No. _ `,".!$ Std!!( 'of Location and Leal Description Lot _i Block Subdivision c Street and Number where work is to be performed— No._/ _hi tiS 1 '' Street _________________ State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs._ No. of Stories Type of Tank Capacity Gals Size Septic Tank Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. Size of Soakage Pit (Signed) Notary Public. State of Florida Street! ,;0_i4 f� l t"� . Plum ng Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations a employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit: and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, ss. COUNTY OF DADE. r t s:° � X ` 444 40*11 +� Before me, the undersigned authority, a notary public, duly authorized to administer oaths take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the . of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty - materials and /or workmanship.